Provider Demographics
NPI:1598737280
Name:WEISKOFF, LINDA F (LCSW)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:F
Last Name:WEISKOFF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 EDGEWOOD AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30307-2581
Mailing Address - Country:US
Mailing Address - Phone:404-658-1222
Mailing Address - Fax:404-658-1127
Practice Address - Street 1:990 EDGEWOOD AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-2581
Practice Address - Country:US
Practice Address - Phone:404-658-1222
Practice Address - Fax:404-658-1127
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000433101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA80BBBXZMedicare ID - Type UnspecifiedMEDICARE